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12/18/2009 FRI 14:12 FAX 402 471 4429 UCC SLCRETARX OF STATR ~~~ Hall <br />O <br />Please forward to: <br />Nebraska Department of Revenue <br />4500 Ave I PO Bax 1500 <br />Scottsbluff, NE 69363-1500 <br />roe reekepr~eruYMrrln{ State Tax Lien Statement of Termination or <br />~r1E Certificate of Partial Release or <br />+rrww.wwr nrar.uar.pw <br />.. _. <br />u or Ina Ion <br />NOT WRITE IN THIS <br />Pursuant to the revenue laws of the State of Nebraska, notice is hereby <br />given that the State Tax Lien which has been duly filed by the Nebraska <br />Department of Revenue against the below-named taxpayer, is <br />terminated, partially released, or subordinated to the extent indicated <br />belaw. <br />Nebraska Identification Number Federal Identiflcatien Number Social Security Number Spouse's Social Security Number <br />42930901 XXX-XX~417 XXX-XX-6284 <br />Lien Serial Number Lien filed with Qate of Lien Tax Category County <br />82840092 []X Register of Deeds []County Clerk 09!09/2009 2Z Hall <br />BUSINES5 NAME A ND LQCATION ADDRESS TAXPAYER NAME AND MAILING ADDRESS <br />Business Name Name <br /> Raymond W &, Debera J Pfenning <br />Street Address Street or Mailing Address <br /> 4170 E Seedling Mile Rd <br />city state zip code Clty state zip code <br /> Grand Island NE 88801-8472 <br /> Type of Action <br />200909955 <br />X002/003 <br />NE Saq et gia\e Jahn A <br />G~:e - U[C Tq9 <br />99096146t)8w5 <br />PFFNNING DEaERR ~ Pgs: l <br />Filed: 12/18/2009 08:58 Rp! <br />© TERMINATION OF TAX LIEN. The State Tax Lfen is hereby fully terminated. <br /> <br />TAX YEARS (corporate, individual Income, and withholding tax onty) 2007 UCC Instrument Numher 909606$ <br />County Instrument Number 200907385 <br />PARTIAL RELEASE. The State Tax Lien is partially released as follows: <br /> <br />TAX YEARS (corporate, individual income, and withholding tax only) UCC Instrument Number <br />County Instrument Number <br />5UBORDINATION. The State Tax Lien is subordinated as follows, UCC Instrument Number <br />County Instrument Number <br /> <br /> <br /> <br />of <br />sign <br />here <br /> <br />revenue <br />partial release, or subordination indicated above. <br />Revenue Agent 12/14/2009 <br />Title Date <br />Revenue Su ervisor <br />Title <br />308 632-1200 <br />Telephone Number <br />12/14/2009 <br />Date <br />d 23268 Rw. &96 Supersedes 4-23268 Rw. 10-95 <br />~. <br />